Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Community Medical Services Arizona-Private, LLC

Community Medical Services Arizona-Private, LLC was paid $7.83M by Medicaid between Jan 2018 and Aug 2022, across 16 billing codes. Its largest line is H2010, Comprehensive medication services, per 15 minutes — 55% of everything it billed.

33Billing provider infoCOMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC
PHOENIX, AZ 85016
33aNPI1942364732assigned 12/19/2006
28Total paid$7.83M
24GClaims935,551
24DCodes billed16
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in Arizona

Rank by total paid#16 of 107
Median peer was paid$636K
This provider vs. median12×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official GAITHER, CINDY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018173,023$614K
2019268,497$2.39M
2020270,321$2.55M
2021183,414$1.92M
202240,296$352K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2010 Comprehensive medication services, per 15 minutes 55% 427,524 41,744 $4.34M
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 12% 371,906 37,425 $944K
T1016 Case management, each 15 minutes 11% 69,052 14,087 $844K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 6.7% 11,261 8,807 $528K
H0004 Behavioral health counseling and therapy, per 15 minutes 5.2% 17,494 13,381 $408K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3.9% 9,498 8,228 $305K
H0031 Mental health assessment, by non-physician 1.9% 1,483 1,458 $148K
T1003 Lpn/lvn services, up to 15 minutes 1.5% 16,056 11,857 $117K
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine <1% 3,060 313 $74K
T1002 Rn services, up to 15 minutes <1% 3,015 2,220 $48K
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) <1% 1,742 509 $23K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 796 746 $21K
4 more codes
J0572 Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine <1% 1,402 $20K
H0038 Self-help/peer services, per 15 minutes <1% 686 $7K
99204 Doctor's office visit, new patient (more involved) <1% 116 $3K
80305 <1% 460 $3K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialGAITHER, CINDY (VP REVENUE CYCLE MGMT)
Same official

Other billing entities under GAITHER, CINDY

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.